throwaway2424 makes a fine point. Road deaths are a result of bad driving, bad conditions, bad infrastructure, bad licensure, bad regulation and enforcement, an

throwaway2424 makes a fine point. Road deaths are a result of bad driving, bad conditions, bad infrastructure, bad licensure, bad regulation and enforcement, and high rates of driving. Those are all related. The USA has chosen to require almost everyone to drive long distances with low density zoning, poor public transit, and extremely high parking mandates on private landowners. If another country has lower fatalities mostly because the government doesn't make them drive as much, that is a result of public policy, just as the high rate of driving in the USA is. Also, the USA has extensive investments in road safety, probably more than any other nation. Modern freeway safety design standards to enable high speed driving without as many fatalities originates in the USA and close to US$100 billion each year is spent on high speed roads and improvements. Also, the USA invests extensively in the world's best trauma surgery corps. The level of fatalities on the roads would probably be double what it is with merely typical first world medicine. Emergency trauma surgery to fight gunshot and car crash deaths is one of the few fields of medical care where the USA far exceeds world standards.